go back

Pennsylvania rates for HCPCS 43235

Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.10 / $2,434.00 / $5,717.10
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$63.61 / $617.00 / $2,059.05
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$25.44 / $65.43 / $1,661.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.33 / $220.75 / $496.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.38 / $165.82 / $228.72
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.58 / $712.58 / $712.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.00 / $2,454.00 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.64 / $287.08 / $455.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $719.77 / $1,418.21
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$165.11 / $165.11 / $165.11
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$41.28 / $41.28 / $41.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.09 / $269.79 / $495.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.70 / $268.70 / $268.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.70 / $345.00 / $492.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.20 / $1,841.40 / $3,352.79
Highmark BCBS
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$907.62 / $1,230.47 / $2,939.04
Highmark BCBS
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$2,127.67 / $2,127.67 / $4,182.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.36 / $159.63 / $230.39
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.58 / $712.58 / $712.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $2,039.55 / $5,595.40
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$163.58 / $830.63 / $2,059.05
Martin's Point
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$25.44 / $1,292.72 / $3,626.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.81 / $260.10 / $647.75
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.45 / $1,470.41 / $4,731.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.13 / $377.20 / $691.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.39 / $714.12 / $1,404.00
Priority Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$165.11 / $165.11 / $165.11
Priority Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$41.28 / $41.28 / $41.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.57 / $274.04 / $495.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.33 / $217.01 / $333.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.33 / $274.07 / $300.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.94 / $339.26 / $550.04